NPIMap

Organization Active NPI

Retina Specialists of North Alabama LLC

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1194760652
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA SPECIALISTS OF NORTH ALABAMA LLC
Practice address
401 Meridian St N
Suite 400
Huntsville, AL 35801-4720
Phone
(256) 539-8851
Fax
(256) 534-7203
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Brennen Byrne, M.D.NPI 1831128388
Title
Managing Physcian
Phone
(256) 539-8851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

401 Meridian St N
Suite 400
Huntsville, AL 35801-4720

Mailing address

1201 11TH Ave S
Suite 300
Birmingham, AL 35205-3410
Phone (205) 933-2625

Other identifiers 1

IdentifierTypeStateIssuer
529906990MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051114001254 AL Part B Supplier - Clinic/Group Practice 7719906239 Receives reassigned benefits from 7 practitioners
Practice locations: Scottsboro, AL; Madison, AL; Huntsville, AL; Florence, AL; Decatur, AL; Guntersville, AL
O20130607000117 MS Part B Supplier - Clinic/Group Practice 7719906239 Practice locations: Corinth, MS

National Provider Directory

National Provider Directory

Locations

2101 Highland Ave S
Ste 350
Birmingham, AL 35205
Phone (205) 558-2525

1241 Point Mallard Pkwy
Ste 112
Decatur, AL 35601
Phone (256) 260-0201

1241 Point Mallard Pkwy
Decatur, AL 35601

216 Marengo St
Florence, AL 35630
Phone (256) 767-1017

216 Marengo St
Ste K
Florence, AL 35630
Phone (256) 740-0601

1436 Gunter Ave
Guntersville, AL 35976
Phone (256) 202-1111

401 Meridian St N
Ste 400
Huntsville, AL 35801
Phone (256) 539-8851

1041 Balch Rd
Ste 110
Madison, AL 35758
Phone (256) 539-8851

12090 County Line Rd
Ste N
Madison, AL 35756
Phone (256) 325-0501

102 Micah Way
Ste 1100
Scottsboro, AL 35769
Phone (256) 259-4119

Interoperability endpoints

  • Direct secure messaging: sdorin@rsnallc.intellechartdirect.net
  • Direct secure messaging: greed@rsnallc.intellechartdirect.net
  • Direct secure messaging: nmedeiros@rsnallc.intellechartdirect.net
  • Direct secure messaging: tpersaud@rsnallc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1194760652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-933-2625",
            "fax_number": "205-558-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "SUITE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-539-8851",
            "fax_number": "256-534-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SPECIALISTS OF NORTH ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRENNEN",
        "authorized_official_title_or_position": "MANAGING PHYSCIAN",
        "authorized_official_telephone_number": "256-539-8851",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529906990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.